Code: 15277

Description:
HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM
Other Descriptions:
HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM
APP SKIN HD/F/H/G 1ST100SQCM
LC APPSKN HD/HF/G 1ST100SQCM
AP GF EX WOTAL>100CM1ST100
HC APLY GFT NON TAL<100CM 1ST 25P
AP SK SUB CH F/N/G/HF<100SQCM WND>100SQC
APPLICATION SKIN TO FEET WOUND >100SQCM
APPLIC APLIGRAF FEET WOUND <100SQCM
HIGH COST SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM
Related codes:
Code: 15271
APP GRFT T/A/L 100SQCM<
Code: 15272
APP GRFT T/A/L25SQCM ADD
Code: 15273
APP GRFT T/A/L >100SQCM
Code: 15274
APP GRFT T/A/L100SQCMADD
Code: 15275
APP GRFT F/N/H 100SQCM<
Code: 15276
APP GRFT F/N/H25SQCM ADD
Code: 15278
APP GRFT F/N/H100SQCMADD
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton 15277 $678 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 15277 $1,016 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids 15277 $1,030 [source] 3 years ago
Aspirus Stevens Point Hospital 5409 Vern Holmes Dr, 15277 $1,030 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau 15277 $1,030 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 15277 $1,061 [source] 3 years ago
River Falls Area Hospital , River Falls 15277 $1,416 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 15277 $2,183 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 15277 $2,279 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 15277 $2,910 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 15277 $2,910 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 15277 $2,910 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 15277 $2,910 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.